I&D: incision and drainage; MRSA: methicillin-resistant Staphylococcus aureus.
* If the abscess is very close to the surface, pus may break through the thin layer of skin at a point (pointing) and may drain spontaneously.
¶ A Word catheter will often not fit in an abscess this small.
Δ Antibiotic therapy should provide adequate coverage for staphylococcal (including MRSA) and streptococcal species and enteric gram-negative aerobes, specifically Escherichia coli. If positive for gonorrhea or chlamydia, include appropriate pathogen-directed antibiotics. Options for antimicrobial therapy are provided in related UpToDate content.
◊ Patients with abscess at high risk for complicated infection include:§ A patient with an asymptomatic Bartholin cyst (of any size) may choose expectant management.
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